| Code | Description | Claims | Beneficiaries | Total Paid |
| 99223 |
Prolong inpt eval add15 m |
1,521 |
1,487 |
$212K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
5,235 |
1,493 |
$178K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,512 |
1,475 |
$126K |
| 99233 |
Prolong inpt eval add15 m |
1,434 |
1,402 |
$121K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
487 |
397 |
$27K |
| S0215 |
Non-emergency transportation; mileage, per mile |
42 |
33 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
22 |
22 |
$1K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
42 |
33 |
$153.77 |